1. makingadifference NHS SWINDON PRESENTATION FOR LINK MEETING 18 MAY

2. makingadifference NHS Swindon The patient, user or carer must be at the heart of all we do About NHS Swindon It serves a local population of around 200,000 It is coterminous with Swindon Borough Council, and includes the ward of Shrivenham in Oxfordshire It employs nearly 950 staff directly, with 500 providing community based healthcare. Annual turnover is in the region of £300 million It is responsible for ensuring the implementation of NHS policy locally.

3. makingadifference Main functions NHS Swindon receives funding for the local population against which we: Work alongside partners with the local population to improve health and well-being Identify what services are needed to meet needs Commission (buy) those services through contracts with a range of providers Run a number of services itself

4. makingadifference NHS Swindon 213,360 registered patients 3.2m prescriptions 2,782 babies born 8,195 adults with diabetes 49,622 visits to the Clover Centre 18,739 non elective admissions 66,227 new outpatient attendances 5,440 inpatient and 18,701 daycase operations

5. makingadifference Our vision As local health community leaders, we will work with partners to: Drive out inequalities in health and well wellbeing Drive up service quality and access to care Give people more influence, choice and control over their lives

6. makingadifference Which Services does this NHS Swindon Commission ? All Secondary Care acute services All Tertiary care acute services Maternity services All mental health services, local through to high secure Practice based services with local GPs through both General Medical and Personal Medical service arrangements Services from voluntary and private sector partners

7. makingadifference NHS Swindon Which Services do we Provide? Community Nursing District Nursing Health Visiting School nursing Some specialist nursing Health Promotion Physiotherapy Occupational Therapy Speech and Language Therapy Learning Disability services Sexual Health services Podiatry 2 Walk in Centres – Clover and Carfax Street 60 bedded Intermediate Care Centre (SwICC) Diagnostic Echo - Cardiography Out of Hours services

8. makingadifference Integrated Health and Social Care Work in Swindon Integrated Community Teams Joint Strategic Planning for Adults and Children’s Services Integrated Commissioning Joint Appointments

9. makingadifference NHS National Reforms The White Paper “Equity and Excellence: Liberating the NHS”, sets out proposals for the NHS to become a truly world-class service that is: easy to access, treats people as individuals and offers care that is safe and of the highest quality The Aim is for health outcomes and quality health services that are as good as anywhere in the world The Vision is for our NHS to put patients at the heart of everything that we do and to empower clinicians to deliver results based on the needs of patients

10. makingadifference NHS National Reforms Decision making about healthcare services will be given back to clinicians, in partnership with patients, for example through the GP Consortium for their local communities Clinicians will be set free to make decisions about care based on patients’ needs and to achieve the best outcomes A new independent NHS Commissioning Board will allocate and account for NHS resources, lead on quality improvement, and promote patient involvement and choice NHS Trusts will become Foundation Trusts and be given more freedom Monitor will be developed into an economic regulator and the Care Quality Commission will act as a quality inspectorate across health and social care

11. makingadifference NHS National Reforms “No decision about me, without me” Patients will be put at the heart of everything that we do: that means giving them real choice about where and, in some cases, how they are treated They will be able to access comprehensive information on many aspects of health allowing them to rate hospitals and clinicians according to the quality of care they provide They will be given a stronger voice through the introduction of a new consumer champion, HealthWatch They will benefit from better health outcomes through a relentless focus on continuously improving the clinical outcomes that really matter, not on inputs or processes

12. makingadifference NHS National Reforms The Listening Exercise So What’s Happening Here in Swindon? Financial Climate Clustering of PCTs

13. makingadifference The Future of Provider Services Childrens Provider Services’ Staff Adults Health and Social Care: The Care and Support Partnership Public Health Public health will sit within the Council remit and the Council will establish a Health and Wellbeing Board

14. makingadifference What will happen next? The White Paper reiterates a commitment to the NHS core values of a comprehensive service, available to all, free at the point of use, based on need not ability to pay Make your voice heard during the Listening Exercise You can give your views at www.healthandcare.dh.gov.uk or on a form available from Swindon LINk www.healthandcare.dh.gov.uk